RAINIER RATILLA ALBA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017102

License Status

NOT RENEWED

Business

First Name

RAINIER

Middle

RATILLA

Last Name

ALBA

Business Name

RAINIER RATILLA ALBA

Original Issue Date

05/19/2009

Effective Date

09/15/2010

Expiration Date

09/30/2012

City

ELKHART

State

Zip

46514

County

INDIANA

Ever Disciplined

LastModifiedDate

01/16/2013